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An Epidemiologic Study of Kawasaki Disease(1987-2000) : Incidence of Coronary Artery Complication in the Acute Stage (가와사끼병의 역학적 연구(1987-2000년) : 관상 동맥 이상을 중심으로)

  • Lee, Kyung-Yil;Park, Min-Young;Han, Ji-Whan;Lee, Hyung-Shin;Choi, Jin;Whang, Kyung-Tai
    • Clinical and Experimental Pediatrics
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    • v.45 no.6
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    • pp.783-789
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    • 2002
  • Purpose : We evaluated the epidemiologic characteristics and incidence of coronary artery sequele of children with KD according to treatment. Methods : We retrospectively analyzed 506 medical records of children with KD, who were admitted at Daejeon St. Mary's Hospital from Jan. 1987 to Dec. 2000. Results : The mean annual incidence was $36.1{\pm}11.1$ cases per year. There was a slightly higher occurrence in summer with no significant difference in monthly incidence. The mean age was $2.4{\pm}1.7$ years and 450 children(88.9%) were below four years of age. The male to female ratio was 1.7 : 1. When the 345 cases between 1987 and 1994 were divided into three groups according to treatment, incidences of the coronary abnormality(above grade II) of aspirin-treated(54 cases; 15.6%), divided-intravenous immunoglobulin(IVIG) treated($400-500mg/day{\times}4-5days$, 224 cases; 64.9%), and one-dose IVIG treated(2.0 g/day, 67 cases; 19.5%) groups were 8.3%, 6.0%, and 7.5%, respectively. Between 1995 and 2000, 143 cases were treated with only one-dose IVIG and 21 cases(14.7%) showed coronary artery abnormalities(grade I, 15 cases; grade II, two cases; and grade III, four cases). Among the 143 cases, 22 cases(15.1%) were retreated with IVIG and/or steroid pulse therapy. The incidence of coronary artery abnormality in this group was 50.0%. Incidences of cases in recurrence and among siblings were 0.6% and 0.4% respectively. There was no fatal case. Conclusion : In Daejeon, Korea, the epidemiologic feature of KD showed slight annual variations without monthly differences. The incidence of coronary abnormality with one-dose IVIG therapy was 14.7%. The nonresponse of this therapy was 15.1% with a coronary abnormality of 50.0%.

Clinical Characteristics in Patients with Kawasaki Disease Who Received Intravenous Gamma-globulin Retreatment (가와사끼병에서 감마글로불린 재투여가 필요했던 경우의 임상적 특징)

  • Kim, Deok-Soo;Hahn, Yoon-Soo;Han, Heon-Seok
    • Clinical and Experimental Pediatrics
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    • v.45 no.11
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    • pp.1411-1416
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    • 2002
  • Purpose : Although the use of intravenous gamma-globulin(IVGG) in Kawasaki disease(KD) is effective in reducing clinical symptoms and coronary artery complications, 20-30% of patients have persistent or recrudescent fever and ongoing clinical symptoms. In these patients, the additional infusion of IVGG is considered. The authors studied the characteristics of patients who received IVGG retreatment, and compared them with the patients who did not need IVGG retreatment, for determination of IVGG retreatment. Methods : We reviewed the medical records of 117 KD patients who could be followed up at least six months. We studied the conventional laboratory findings, electrocardiogram(EKG), signal averaged ECG(SAECG) and echocardiogram. Results : Twenty three patients had early cardiac complications during the six months of follow-up. Four patients had late cardiac complications after six months. The early cardiac complication rate was higher in the IVGG retreatment group than the single infusion group(P<0.0001). The late complication rate was also higher in the retreatment group(P<0.0001). The patients who received methyl-prednisolone(m-PD) pulse therapy had much higher rates of early and late cardiac complications than those who received a single IVGG infusion. Among the clinical data and laboratory findings, only CRP increased significantly in patients who have had the cardiac complications. The IVGG retreatment group had increased CRP than the single infusion group. Conclusion : The patients with increased initial CRP may have an increased incidence of complications and an increased possibility of IVGG retreatment. We thought that retreated KD patients might have inflammations severe enough to need high dose IVGG as shown by high CRP levels, and IVGG retreatment could not prevent coronary artery lesions sufficiently.

Biohydrogen Production from Food Waste by Two-Stage (Lactate+Photo)-Fermentation Process (2단(유산발효+광발효) 발효공정을 통한 음식물쓰레기로부터의 수소생산)

  • Kim, Ok-Sun;Son, Han-Na;Kim, Dong-Hoon;Jeon, Dong-Jin;Rhee, Young-Woo;Kim, Mi-Sun
    • Journal of Hydrogen and New Energy
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    • v.22 no.3
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    • pp.333-339
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    • 2011
  • In the present work, it was attempted to produce $H_2$ from food waste by the two-stage fermentation system. Food waste was acidified to lactate by using indigenous lactic acid bacteria under mesophilic condition, and the lactate fermentation effluent (LFE) was subsequently converted to $H_2$ by photo-fermentation. $Rhodobacter$ $sphaeroides$ KD131 was used as the photo-fermenting bacteria. The optimal conditions for lactate fermentation were found to be pH of 5.5 and substrate concentration of 30 g Carbo. COD/L, under which yielded 1.6 mol lactate/mol glucose. By filtering the LFE and adding trace metal, $H_2$ production increased by more than three times compared to using raw LFE, and finally reached the $H_2$ yield of 3.6 mol $H_2$/mol lactate. Via the developed two-stage fermentation system $H_2$ yield of 5.8 mol $H_2$/mol glucose was achieved from food waste, whose value was the highest that ever recorded.

A STUDY ON THE COLOR STABILITY OF PORCELAIN REPAIR RESINS (도재 수리용 레진의 색안정성에 관한 연구)

  • Kim Nan-Young;Jin Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.2
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    • pp.133-141
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    • 2004
  • Statement of problem : Porcelain restorations are widely used in restorative dentistry with a high degree of general success. However, porcelain is brittle and may fracture intraorally. Sometimes a repair may be attempted using composite resin and bonding system available. Color stability of porcelain repair resins affects esthetics and prognosis of prosthesis, so that provides important criteria for the choice of porcelain repair resins. Purpose : The purpose of this study was to investigate the color stability of composite resins used widely as porcelain repair system. Materials and method : Composite resins used for this study were Carisma(Kulzer, Germany), Tetric ceram(Ivoclar, Liechtenstein), Filtek Z250(3M, USA), and Arabesk Top(VOCO, Germany). Thirty disc-shaped specimens($10{\times}2mm$) were fabricated from each composite resin. Color changes of specimens after treatment using thermocycling system(KD-TCS30, Kwang-duk F.A. Korea) and after immersion in methylene blue(0.05% by Wt) were measured with colorimeter(Model Tc-6Fx, Tokyo Denshoku Co.) and obtained data were analyzed. Results and Conclusion: The results obtained from this study were as fo11ows. 1. The color change of Filtek Z250 was lesser than those of Tetric ceram and Arabesk Top after thermocycling (12000 times). 2. All of the composite resins in this study showed increase of color change according to increase of thermocycling frequency. 3. After treatment with methylene blue, the color change of Arabesk Top was greater than those of Carisma and Tetric ceram, and Tetric ceram was more stable than others.

The Effect of a Potent Oxytocin Antagonist, Antag I, on In Vitro Uterine Contractions in Response to Exogenous Oxytocin and on Uterine Oxytocin Receptor Number and Affinity (옥시토신 길항제, Antag I이 옥신토신 투여에 따른 자궁수축과 자궁의 옥시토신 수용체 수 및 친화력에 미치는 영향)

  • ;C. Warnell;G. Flouret;L. Wilson Jr.
    • Korean Journal of Animal Reproduction
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    • v.18 no.2
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    • pp.95-99
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    • 1994
  • The purpose of the present study was to determine the in vivo effect of oxytocin antagonist-I(Al) on uterine oxytocin receptor number (Rn) and/or binding affinity (Kd) in the estrous rat. Anesthetized rats were given a bolus infusion of control or 5${\mu}\textrm{g}$ of AI and sacri-ficed 0.5 and 4 hours later. The uterine tissue was removed, trimmed and frozen. Membrane oxytocin receptors were isolated after homogenization of uterine tissue and differential ultracentrifugation. The oxytocin receptor assay was performed by saturation with cold oxytocin competion with a high specific activity oxytocin antagonist. Rn and Kds were determined by nonlinear curve fitting methods. No differences(p>0.05) between the AI and control treated animals in either oxytocin receptor number or binding affinity was detected in this study. These data suggest that the major mode of action of AI is via competitive inhibition at the uterine oxytocin receptor and not by altering receptor number or binding affinity.

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Behaviors of Chloronicotinyl Insecticide Acetamiprid in Soil (Chloronicotinyl계 살충제 Acetamiprid의 토양 환경중 동태)

  • Hong, Min-Kee;Park, Jong-Woo;Kim, Jang-Eok
    • Korean Journal of Environmental Agriculture
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    • v.20 no.3
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    • pp.162-168
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    • 2001
  • This study was conducted to evaluate the degradation, adsorption and desorption and leaching of acetamiprid in soils. The half-life of acetamiprid in field condition was $1.7{\sim}3.3$ days in Bokhyun soil and, in case of laboratory condition, 15.5 days. Adsorption of acetamiprid was equilibrated in 12 hours incubation. In adsorption experiment using modified soils, such as oxidized soil, oxidized soil added humic acid, fulvic acid, kaolinite or montmorillinite, adsorption rate of acetamiprid was the highest in the oxidized soil added fulvic acid. The desorption rate was the lowest in the oxidized soil added fulvic acid. The adsorption and desorption results should be suggested that acetamiprid could be strongly adsorbed with soil humic materials, especially fulvic acid. When the mobility of acetamiprid in soil was calculated according to GUS (Groundwater Ubiquity Score) equation, it was prove to non-leacher, and it was confirmed in the leaching experiment with soil column. Most of acetamiprid was remained in the upper 30 cm of the soil column after eluting with water and it was not even detected in leachate.

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Runoff and Erosion of Alachlor, Ethalfluralin, Ethoprophos and Pendimethalin by Rainfall Simulation (인공강우에 의한 alachlor, ethalfluralin, ethoprophos 및 pendimethalin의 토양표면 유출)

  • Kim, Chan-Sub;Ihm, Yang-Bin;Lee, Young-Deuk;Oh, Byung-Youl
    • Korean Journal of Environmental Agriculture
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    • v.25 no.4
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    • pp.306-315
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    • 2006
  • Two different experiments, adsorption/desorption and runoff by rainfall simulation of four pesticides, such as alachlor, ethalfluralin, ethoprophos and pendimethalin were undertaken their runoff and erosion losses from sloped land and to assess the influence of their properties and environmental factors on them. The mobility of four pesticides and which phase they were transported by were examined in adsorption study, and the influence of rainfall pattern and sloping degree on the pesticide losses were evaluated in simulated rainfall study. Freundlich adsorption parameters (K) by the adsorption and desorption methods were 1.2 and 2.2 for ethoprophos, 1.5 and 2.6 for alachlor, respectively. And adsorption distribution coefficients (Kd) by the adsorption and desorption methods were 56 and 94 for ethalfluralin, and 104 and 189 for pendimethalin, respectively. K or Kd values of pesticides by the desorption method which were desorbed from the soil after thoroughly mixing, were higher than these ones by the adsorption method which pesticides dissolved in water were adsorbed to the soil. Another parameter (1/n), representing the linearity of adsorption, in Freundlich equation for the pesticides tested ranged from 0.96 to 1.02 by the desorption method and from 0.87 to 1.02 by the adsorption method. Therefore, the desorption method was more independent from pesticide concentration in soil solution than the adsorption method. By Soil Survey and Land Research Center (SSLRC)'s classification for pesticide mobility, alachlor and ethoprophos were classified into moderately mobile $(75{\leq}Koc<500)$, and ethalfluralin and pendimethalin were included to non-mobile class (Koc > 4000). Runoff and erosion loss of pesticides by three rainfall scenarios were from 1.0 to 6.4% and from 0.3 to 1.2% for alachlor, from 1.0 to 2.5% and from 1.7 to 10.1% for ethalfluralin, from 1.3 to 2.9% and from 3.9 to 10.8% for pendimethalin, and from 0.6 to 2.7% and from 0.1 % 0.3% for ethoprophos, respectively. Distribution of pesticides in soil profile were investigated after the simulated rainfall study. Alachlor and ethoprophos were leached to from 10 to 15 cm of soil layer, but ethalfluralin and pendimethalin were mostly remained at the top 5 cm of soil profile. The losses of the pesticides at 30% of sloping degree were from 0.2 to 1.9 times higher than those at 10%. The difference of their runoff loss was related with their concentration in runoff water while the difference of their erosion loss must be closely related with the quantity of soil eroded.

Control Measures for Air Pollutant Emissions from In-Use Light-Duty Diesel Vehicles Regarding their Emission Control Technologies (배출허용기준 대응기술을 고려한 국내 소형 경유 운행차의 대기오염물질 관리 방안)

  • Lee, Taewoo;Park, Hana;Park, Junhong;Jeon, Sangzin;Kim, Jeongsoo;Choi, Kwangho
    • Journal of Korean Society for Atmospheric Environment
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    • v.30 no.4
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    • pp.327-338
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    • 2014
  • The objective of this study is to enhance the effectiveness of Korean Inspection and Maintenance (I/M) program. Three main tasks are: to measure pollutant emissions of in-use light-duty diesel vehicles (LDVs); to evaluate the validity of existing smoke control scheme for low-smoke-emitting vehicles, which have diesel particulate filters, DPF, to meet stringent Euro-5 emission limits; and to assess the necessity and the benefit of $NO_x$ inspection, which is not involved in current I/M program. We measured second-by-second smoke, particulate and gaseous emissions of 27 LDVs using opacity smoke meter, photo-acoustic soot sensor, and portable emissions measurement system, respectively, under the Korean I/M test driving cycle, KD-147. We find that the DPF plays a key role in controlling soot, which can be considered as black carbon contained in particulate matter. Thus, from an I/M perspective, we believe smoke inspection strategies for Euro-5 diesel vehicles should be more focused on the capability of detecting DPF malfunctions or failures, in order to keep DPF properly functional. Fleet averaged distance-specific $NO_x$ emissions are consistently higher than corresponding emission limits, and the values are similar among pre-Euro-3, Euro-3, and Euro-4 vehicle fleets. These findings indicate that the $NO_x$ inspection should be incorporated into current I/M program in order to manage urban $NO_x$ emissions. This research allows the Korean I/M program keep pace with developments in vehicle technologies, as well as the increased emphasis on $NO_x$ with respect to air quality and human health.

Effects of Butachlor on the Cell Division and Protein Synthesis on Oat(Avena sativa L.) (Butachlor가 귀리의 세포분열(細胞分裂) 및 단백질(蛋白質) 합성(合成)에 미치는 영향(影響))

  • Kwon, S.W.;Kim, J.C.
    • Korean Journal of Weed Science
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    • v.9 no.3
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    • pp.245-249
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    • 1989
  • The effects of varying concentrations and durations of butachlor [N-(bytoxymety 1,)-2-chlor -2, 6-diethy lacetanilide treatment on oat(Avena sativa L.) root cell division and protein synthesis were studied. The highest concentration ($1{\times}10^{-3}M$) of butachlor caused the significant inhibition of cell division after 18hrs treatment. After 18hrs treatment, 59% and 82% inhibition of cell division occurred at $1{\times}10^{-4}M$ and $1{\times}10^{-3}M$, respectively, while 9% inhibition of cell division did at $1{\times}10^{-6}M$ concentration at the same exposure period. To investigate protein synthesis, the oats were treated for 18 and 24hrs with concentrations ranging from $1{\times}10^{-6}M$ to $1{\times}10^{-3}M$ butachlor. After 18hrs, butachlor treatment of oat with $1{\times}10^{-4}M$ inhibitited 23% protein synthesis, and butachlor treatment with $1{\times}10^{-4}M$ caused 34% inhibition after 24hrs. With SDS-PAGE of proteins extracted from oat root tips, butachlor usually inhibited the 16, 18, 30, 43 and 43.5 kD polypeptide, and proteins of root tips are made up of subunits below 100 kD polypeptide.

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Evaluation of Undrained Shear Strength of Busan New-port Clay by DMT (DMT를 이용한 부산신항 점토의 비배수 전단강도 추정)

  • Hong, Sung-Jin;Shin, Dong-Hyun;Kim, Dong-Hee;Jung, Sang-Jin;Lee, Woo-Jin
    • Journal of the Korean Geotechnical Society
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    • v.23 no.7
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    • pp.87-98
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    • 2007
  • A series of dilatometer test, field vane test, and $CK_0U$ triaxial test were performed for clayey soils of Busan new port site to develop the relationships between undrained shear strength and the DMT results. Normalized undrained shear strength is turned out to be $S_{u(CKU)}/{\sigma}'_v=0.30{\sim}0.35\;for\;CK_0U$ triaxial test and ${\mu}S_{u(VST)}/{\sigma}'_v=0.20{\sim}0.22$ for vane shear test. By comparing the undrained shear strength estimated from DMT indices with the results measured by in-situ vane test or $CK_0U$ triaxial test, two methods to predict the undrained shear strength from DMT results are suggested. One is based on the relationship between $S_u/{\sigma}'_v$ and horizontal stress index (KD) while another method comes from $N_c-I_D$ and $N_c-E_D$ correlation. It was observed that the method based on $N_c-I_D\;or\;N_c-E_D$ relation shows slightly better accuracy than the one based on $K_D$ although all of the methods suggested in this study provided comparable values of predicted undrained shear strength. Since the definitions of $I_D\;and\;E_D$ contain $p_1-p_0$, in which soil condition is reflected, it is believed that the prediction method using $N_c$ is capable of taking a material type into consideration.